Kimberly Rae Warren, MSN, APRN, AGPCNP-BC - Medicare Nurse Practitioner in Vidalia, GA

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Kimberly Rae Warren, MSN, APRN, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Vidalia, Georgia. Her current practice location is 2203 Ga Highway 130 W, Vidalia, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 245-5491.

Kimberly Rae Warren is licensed to practice in Georgia (license number RN269449) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104505460.

Contact Information

Kimberly Rae Warren, MSN, APRN, AGPCNP-BC
2203 Ga Highway 130 W,
Vidalia, GA 30474-5555
(912) 245-5491
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Rae Warren
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location2203 Ga Highway 130 W, Vidalia, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104505460
  • Provider Enumeration Date: 07/14/2023
  • Last Update Date: 07/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123460367
  • Enrollment ID: I20240520003287

Medical Identifiers

Medical identifiers for Kimberly Rae Warren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104505460NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN269449 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Rae Warren allows following entities to bill medicare on her behalf.
Entity NameHospital Authority Of Candler County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588868947
PECOS PAC ID: 5294623948
Enrollment ID: O20040305000415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Rae Warren is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Rae Warren, MSN, APRN, AGPCNP-BC
2203 Ga Highway 130 W,
Vidalia, GA 30474-5555

Ph: (912) 245-5491		Kimberly Rae Warren, MSN, APRN, AGPCNP-BC
2203 Ga Highway 130 W,
Vidalia, GA 30474-5555

Ph: (912) 245-5491

Reviews and Comments


Nurse Practitioner Nurses in Vidalia, GA

Dana M Avist, APRN, BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Adams St, Vidalia, GA 30474
Phone: 912-537-1772    
Mrs. Kimberly Thigpen Evans, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 621 East First Street, Unit B, Vidalia, GA 30474
Phone: 478-274-8739    
Jessi Erica Woods,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474
Phone: 912-537-9355    
Mrs. Morgan Royal Comstock, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3193 E 1st St, Vidalia, GA 30474
Phone: 912-537-8588    
Santoria Shamika Felton, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474
Phone: 912-537-9355    
Christy L Hartley, CNM/ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1707 Meadows Ln Ste A, Vidalia, GA 30474
Phone: 912-537-1014    Fax: 912-538-0979

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.